Int Arch Otorhinolaryngol 2014; 18(04): 403-405
DOI: 10.1055/s-0034-1387811
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Extranasopharyngeal Angiofibroma Originating in the Inferior Turbinate: A Distinct Clinical Entity at an Unusual Site

Marco Antonio Ferraz de Barros Baptista
1  Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, HCFMUSP, São Paulo, SP, Brazil
2  Department of Otolaryngology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
,
Fábio de Rezende Pinna
2  Department of Otolaryngology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
,
Richard Louis Voegels
2  Department of Otolaryngology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

25 March 2014

06 July 2014

Publication Date:
25 August 2014 (online)

  

Abstract

Introduction The extranasopharyngeal angiofibroma is histologically similar to juvenile nasopharyngeal angiofibroma, differing from the latter in clinical and epidemiologic characteristics.

Objectives We present a case of extranasopharyngeal angiofibroma originating in the inferior turbinate.

Resumed Report The patient was a girl, 8 years and 6 months of age, who had constant bilateral nasal obstruction and recurrent epistaxis for 6 months, worse on the right side, with hyposmia and snoring. Nasal endoscopy showed a reddish lesion, smooth, friable, and nonulcerated. Computed tomography showed a lesion with soft tissue density in the right nasal cavity. We used an endoscopic approach and found the lesion inserted in the right inferior turbinate. We did a subperiosteal dissection and excision with a partial turbinectomy with a resection margin of 0.5 cm. Histopathology reported it to be an extranasopharyngeal angiofibroma.

Conclusion Although rare, extranasopharyngeal angiofibroma should be considered in the diagnosis of vascular tumors of the head and neck.